卒中相关肺炎危险因素荟萃分析

Pub Date : 2023-07-01 DOI:10.29271/jcpsp.2023.07.799
Shou-Ye Zhang, Jing Huang, Xiao-Ling Zhou
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引用次数: 0

摘要

本研究旨在进行荟萃分析,以评估卒中相关性肺炎(SAP)的可能危险因素。从2000年到2022年4月,对PubMed、Medline和Cochrane图书馆进行了全面的搜索。选择评估SAP危险因素的病例对照研究。本研究的主要发现是吞咽困难、心房颤动、性别、糖尿病和高血压是决定SAP发展的危险因素。采用随机效应策略来突出研究的特定结果。651篇论文中只有14篇符合纳入标准并被纳入研究。这项研究的质量总体上是优秀的。与SAP相关的危险因素有性别(合并OR为1.48,95% CI为1.18-1.85)、吞咽困难(合并OR为2.61,95% CI为1.97-3.46)、房颤(合并OR为2.08,95% CI为1.68-2.57)、糖尿病(合并OR为1.32,95% CI为1.17-1.49)、高血压(合并OR为1.19,95% CI 1.05-1.34)。这项研究是至关重要的,因为一些危险因素很容易识别,并且患有这些危险因素中的一个或多个的患者正在发展SAP。应该解决和管理诸如吞咽困难,心房颤动,糖尿病和高血压等疾病,以减少SAP难题的发生率。关键词:缺血性脑卒中,肺炎,危险因素
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A Meta-analysis of the Risk Factors for Stroke-associated Pneumonia.

This study aimed to conduct a meta-analysis to assess the possible risk factors of stroke-associated pneumonia (SAP). A comprehensive search of PubMed, Medline, and Cochrane Library was gathered from 2000 to April 2022. A case-control study evaluating the risk factors of SAP was selected. The major finding of this study was that dysphagia, atrial fibrillation, gender, diabetes mellitus, and hypertension were risk factors that determine the development of SAP. The random-effects strategy was used to highlight study-specific outcomes. Only 14 papers out of 651 met the criteria for inclusion and were included in the study. The quality of this study was generally excellent. Risk factors associated with SAP were gender (pooled OR 1.48,95% CI 1.18-1.85), dysphagia (pooled OR 2.61, 95% CI 1.97-3.46), atrial fibrillation (pooled OR 2.08, 95% CI 1.68-2.57), diabetes mellitus (pooled OR 1.32, 95% CI 1.17-1.49), hypertension (pooled OR 1.19, 95% CI 1.05-1.34). This research is crucial because some risk factors are easily recognised, and patients with one or more of these risk factors were developing SAP. Disorders such as dysphagia, atrial fibrillation, diabetes, and hypertension should be addressed and managed to reduce the incidence of SAP conundrums. Key Words: Ischemic stroke, Pneumonia, Risk factor.

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